Provider Demographics
NPI:1962646984
Name:HULL, JENNIFER FILICKY (LCPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FILICKY
Last Name:HULL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 W BARRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-8006
Mailing Address - Country:US
Mailing Address - Phone:330-495-5085
Mailing Address - Fax:
Practice Address - Street 1:2230 W BARRY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-8006
Practice Address - Country:US
Practice Address - Phone:330-495-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program